• PRN (VSP) Physician

    CenterWell (Daytona Beach, FL)
    …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (09/17/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (09/30/25)
    - Related Jobs

  • Outpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …allowing you to help shape the future of healthcare from your own workspace! ** Preferred : Candidate needs a strong skill set in SDS, ED, Observation and I&I** **What ... Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
    - Related Jobs

  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …to help shape the future of healthcare from your own workspace! Preferred : Ideal candidate will preferably have experience with SMART software experience. Candidate ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...teamwork, and leadership skills **What You Need to Succeed:** Preferred : Ideal candidate will preferably have experience with SMART… more
    Datavant (07/29/25)
    - Related Jobs

  • NP/PA Primary Care

    CenterWell (Orlando, FL)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (09/30/25)
    - Related Jobs

  • HIM ProFee Auditing Specialist FT

    Datavant (Tallahassee, FL)
    …**What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...Fee coding and/or auditing + CPC (required) + CPMA ( preferred ) + Maintain 95% accuracy rate + Experience with… more
    Datavant (09/13/25)
    - Related Jobs

  • Claim Field Analyst (Tampa/Orlando, Florida)

    CVS Health (Tallahassee, FL)
    …duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root cause ... EST, with the flexibility to work beyond core hours as needed. ** Preferred Qualifications** + Excellent verbal and written communication skills. + Regular and… more
    CVS Health (09/24/25)
    - Related Jobs

  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …a related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
    Evolent (09/23/25)
    - Related Jobs

  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    …experience. **The value you'll bring to the team:** + Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities. ... the need for accurate, specific, and complete clinical documentation in the patient's medical record. + Serves as a subject matter expert in clinical documentation… more
    AdventHealth (09/23/25)
    - Related Jobs

  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (St. Petersburg, FL)
    …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), ... working from home. Care Management & Waiver Service Auditing experience is highly preferred . Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential… more
    Molina Healthcare (09/20/25)
    - Related Jobs